| NPI | 1316482854 |
|---|---|
| Other Name | ANNIE RUSSELL LPC |
| Entity Type | Organization |
| Authorized Contact | ANNIE RUSSELL Owner 678-336-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009369) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |